Eficacia del complejo enzimático extraído a través del método soxhlet para la remoción atraumática de caries en dientes deciduos y permanentes. Estudio Ex - vivo, Universidad Católica de Cuenca 2019.

Abstract

INTRODUCTION: Dental caries is now considered a disease present in much of the world's population, so that dentistry seeks to replace conventional removal treatment by a minimally invasive therapy. AIM: To determine the efficacy of the enzymatic complex extracted from the babaco through the Soxhlet method for the atraumatic removal of caries in deciduous and permanent teeth. MATERIALS AND METHODS: An observational analytical study was performed which began with the pilot scale preparation of the Carica Pentagona enzyme complex through the soxhlet method which obtained the enzyme complex plus alcohol, having to apply another method that helps the elimination of alcohol by purifying the enzyme complex called distillation. Sixteen teeth (8 permanent and 8 deciduous) were collected with caries at coronal level which were sectioned mesiodistally in the center of the carious lesion presenting a total of 32 specimens. The teeth were submitted to two types of removal: the right side was used a conventional dentine spoon and the right side the enzymatic complex; an external evaluator was sent to see the qualities of the roughness of the dentine avoiding the biases. RESULTS: It could be observed that there was a higher percentage of effectiveness of the enzymatic complex with 56.25 %, leaving a surface without roughness which can be associated with facilitating the removal of caries since it adheres to the infected dentine. For x2 with a (p= 0.3294) there are no significant differences when comparing efficacy. CONCLUSIONS: It is concluded that the enzymatic complex of Carica pentagone can be used in the chemical-mechanical removal of dental caries, achieving an alternative for patients and dentists.